Active NPI
Terri Brandy Holmes, LCSW
- Clinical Social Worker
- Decatur, AL
National Provider Identifier
1124171137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0793-2015C
- Practice address
- 1608 4TH Ave SE
Decatur, AL 35601-4904 - Phone
- (256) 340-9233
- NPI assigned
- Jan 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0793-2015C | AL | Primary |
Addresses
Primary practice location
1608 4TH Ave SE
Decatur, AL 35601-4904
Mailing address
1166 County Road 1716
Holly Pond, AL 35083-5802
Phone (256) 796-5482
Other names 1
- Ms. Brandy Woods Holmes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0793-2015C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services LLC | Current | Accepting new patients | |
| Family Support Services, LLC | Clinical | Current | Accepting new patients |
Locations
1608 4th Ave SE
Decatur, AL 35601
Phone (256) 340-9233
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Decatur, AL
- NPI 1023142189
-
- Professional Counselor
- Decatur, AL
- NPI 1487013413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124171137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 COUNTY ROAD 1716",
"city": "HOLLY POND",
"state": "AL",
"postal_code": "350835802",
"telephone_number": "256-796-5482",
"fax_number": "256-796-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 4TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014904",
"telephone_number": "256-340-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "TERRI",
"middle_name": "BRANDY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "0793-2015C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "HOLMES",
"middle_name": "WOODS",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.